There comes a time in everyone’s life where they just want more time to do things. Less time on things to maintain and fuss over. Time becomes more important that having to take care of things.

Where do you start with downsizing it all after years of accumulating it to start with? You start with you. What is your focus now? Where to do you want to be? What do you want to do? What is your new goals?

This is where you start and you start small. Start with a box, a drawer, a closet, a corner of a room. Then move forward from there. It doesn’t have to be all in one day. It can be over weeks or months. This is the new you and you are growing into a new way of life. Not everything is internet speed. We need to grow into who we wish we want the new us to be.​What to do with the excess? It can be thrown away, recycled, sold, or given away. Many find that their excess might even set up a small nest egg or be money to be used for a trip they had been wishing they could afford. Perhaps the quality isn’t that great but someone else could recycle it into something fabulous or rehoming it could make another just as happy? Then there is just the mindset, quit messing with it and toss it out in the trash. If you think someone could use it, set it next to the trash can. It may be something someone was looking for or the trash service will just take it with everything else.

What would you do if you only had two weeks of clothes to choose from? Would you run and hide or would you be relieved that you knew just what you were going to wear each day for two weeks? Would you be happy that your laundry day would be once a week and maybe two loads of laundry? How much time and money would you save?What could you do with the extra time not spent picking out clothes? Sleep a little more in the morning? Perhaps get to spend some extra time on your hobby instead of folding or hanging up clothes on the weekend?

The biggest thing is, would anyone even notice your limited wardrobe? Okay, they might notice your flashy disco shirt but would they notice the same plain tee shirt paired with shorts, pants, or a jacket?

What if your job requires just black pants every day? Do you really need 72 pairs of them?​Just for fun, see if minimalistic would work for you. Pick out 7 outfits to wear over a month’s time. Each outfit will be worn 4 days out of the month. See if it saves you time, money, and effort for one month.

What is this Elderberry?Couture Health Care is hearing a lot of folks taking elderberry and others wanting to know if this is safe.** As always be careful with giving children under age of 2 years any types of cough syrup and natural honey for children under 1 year of age.What makes Elderberry awesome? It contains 87% Vitamin C in one cup. Vitamin C is water soluble vitamin, meaning it does not build up in the body and would need to be replaced daily.Vitamin C has been known to help with prevention and shorten colds and flu.

What has happened since the start of Red Dress day 14 years later? Has the education been effective?​National Wear Red Day was started in 2004. It was established to educate women of the #1 killer in women is heart disease.In the last 14 years women have:

Red Dress Day!​What is Red Dress day? It is when everyone wears red to help support and educate about women’s heart conditions and symptoms of heart disease.It is the first Friday in February every year.

Couture Health Care 2017 Business Highlights Year ReviewJanuary:Couture Health Care Board Members decided to purchase a second location and expand Couture Health Care. Interviews for Nurse Practitioners was conducted for the second location.February:February 26 Due to unforeseen circumstances of the owners removing the office space from market, Couture Health Care Board Members have decided to hold on expansion to our second location at this time. March:March 16- Couture Health Care is part of the Statewide Immunization Information System (IMPACTSIIS) and Ohio Department of Health's Vaccines for Children (VFC) program. VFC Program was applied for in March 2016 and vaccines were received and stared in September 2016. One year later, Couture Health Care is please to announce 53 children from 2 months-18 years have been part of this program. Completion of the free eligible vaccine program will save families over $2,000 per child. Couture Health Care estimates $6,500 free eligible vaccines have been given out between September 2016- March 2017. April:April 28 Couture Health Care stats are in! How are we doing?Drug interaction checks at 100% . All medications entered into the electronic medical records are instantly check to see if they interfere with another medication before escripted. This prevents errors and better outcomes for our patients.Medication orders escriptat 100%. 100% of our medications are sent by the computer to the pharmacy. Eliminating lost prescriptions and errors.Medication reconciliation is at 100%. The medication is entered into the electronic medical record and re-ordered or discontinued based on the patient need and provider judgement. Patients receive a print out of all medications at the end of their visit.Patient-specific education is 98%. Patient receive specific education regarding their condition and documented in the electronic medical record system. Education is also one of Couture Health Care’s three major goals.Patient electronic records accessed is 69%. The patient portal gives access to their electronic records. The patient is given a password and invite to the portal on their first visit upon providing an email address. The portal can also be accessed on the home page of the Couture Health Care website. www.couturehealthcare.org.-Now when you shop at smile.amazon.com, Amazon will give 0.5% of your purchase price tp Couture Health Care. May May 4 Couture Health Care is please to announce the addition of a text program merged with our current EMR system. Patients will receive emails and text messages notifying them of upcoming appointments, referral information, and events. May 16 Couture Health Care is accepting Care Credit as a form of payment. 9/15/16 No longer offering this as a payment source. ​Couture Health Care's mission statement is "Couturing individual patient's/client's spiritual and health care needs for best outcomes". Therefore we do no prescribe any of the medications listed on Ohio's Pharmacy change in the law on 4/2017. Patients in need of pain medications will be referred to specialist(s) to meet their needs

June:June 1, 2017: No longer accepting the following insurances; Aenta, COREsource, Corporate Benefits Services of America, Riverlink, TransAmerica Life Insurance Company, UMR.June 4, 2017 Take care of me June! Couture Health Care's "Take care of me June!" has started! How healthy are you? When was the last time you seen a health care provider? Do you need a new health care provider? Now is the time to take care of you! Give us a call now during our take care of me June event.

July July 29, 2017 -CCW Training. Couture Health Care staff received mandatory CCW training. The Couture Health Care Board Members felt this was necessary to provide safety to our staff and patients in the changing health care environment.

July 2017 Vaccines for Children program was very effective for getting children ready for school. Over 50% of Couture Health Care's pediatric patients were fully vaccinated in time to for school in the months of June and July 2017.October10/19/17​Couture Health Care Staff MOBI training with the Board of Health. Training was for the Vaccines for Children (VFC) program. Qualifying children up to 18 years of age are eligible for free vaccines. 10/20/17Couture Health Care attended the Hamilton Expo at Hamilton High School. October 24, 2017​Couture Health Care was notified by Warren County Court system on October 19, 2017, Dr. Anil Jhangiani MD c/o Advanced Cardiovascular Care was suing Dr. Lisa Goins PhD, APRN, FNP-BC, RMT c/o Couture Health Care regarding lack of payment for Standard Care Agreement (SCA) of $4,000. An SCA agreement is a collaborating agreement between a Physician and Nurse Practitioner required by Ohio law 4723 (http://codes.ohio.gov/orc/4723).

Couture Health Care is a 501c3 nonprofit company recognized by the IRS and the US Postal Service, providing primary health care, education, and spiritual care/counseling located at 201 North Brookwood Ave., Hamilton, OH 45013.www.couturehealthcare.org

"Do You Know Lisa? Vol 4" is a book of Dr. Lisa Goins PhD, APRN, FNP-BC, RMT's writings of primary care articles from 2017 that she is giving out to patients to celebrate Nurse Practitioner Week 2017. Get your copy on Amazon!

Dr. Lisa is one of the 234,000 Nurse Practitioners in the US, one of the 11,000 APRNS in Ohio, and the first Nurse Practitioner with a 501c3 nonprofit company offering primary care, education, and spiritual care in the US. November 10, 2017​Inspection time! Hamilton City's back flow/water heaters checked and Hamilton City Fire Dept inspection this morning. It is official! We are good for winter now!December:

The Christmas Trees are up! Come and see them in the office. We have six trees up this year in all types of styles.

Couture Health Care is please to announce that over $7,000 free vaccines were provided to our patients via the Vaccine For Children (VFC) program. We will be offering this program for 2018 for children 2 months to 18 years of age. Approximately over $2,000 in vaccines may be provided per child for the entire vaccine series as stated by the CDC.

Tips on Scale Weight​Did you know your scales may change weight because of the spring in the metal scale? This weight can vary from 4-6 pounds throughout the year because the heat/cold changing the scale?

Did you know your doctor’s scale needs to be calibrated to zero and if not calibrated, the weight can be skewed?

A dry weight is after urinating in the am and then stepping on the scales. Weights after eating and drinking fluids can change a dry weight to add more weight.

Lisa Goins is a Family Nurse Practitioner with a Doctoral degree in Holistic Healing.Founder and CEO of Couture Health Care, an IRS recognized 501(c)(3) non-profit. Couture Health Care office is located at 201 North Brookwood Ave., Hamilton, OH, US513-857-5679.Disclaimer: The information here is not a substitute for visiting with a health care provider. *Thank you in advance for your comments!Content is provided by *Dr. Goins to help educate patients and the public.*Dr. Goins is not compensated for material used by Couture Health Care's website at this time.*Dr. Goins' books are available on Amazon. "Do You Know Lisa? Collection of Questions, Answers, and Tips Vol 3 just released 11/2016! On Amazon.com ​To order click here!

Copyrighted 2013-2017. All Rights Reserved and copyrights are owned by respective parties and 501(c)(3) Couture Health Care Corporation. The official webpage for Couture Health Care is not a substitute for a visit with your health care provider. Typos and errors may be forms of copyright protection of material. DISCLAIMER: The information provided is not a substitution for seeing a health care provider. ICANN confirmed website 5/30/2017.